Emergency Endovascular Repair for the Non-anastomotic Rupture of a 14-Year-Old Reverse Lock-Knitted Dacron Graft

TL;DR

An 80-year-old man with a ruptured 14-year-old aortic graft underwent emergency endovascular repair but died from complications.

Contribution

Reports a rare case of non-anastomotic rupture in a long-term reverse lock-knitted Dacron graft managed with emergency endovascular repair.

Findings

Emergency endovascular repair was technically successful in managing the graft rupture.

The patient succumbed to postoperative disseminated intravascular coagulation and multiple organ failure.

Non-anastomotic rupture of a long-term Dacron graft is a rare but life-threatening complication.

Abstract

An 80-year-old man who underwent abdominal aortic replacement 14 years earlier collapsed suddenly and was rushed into our emergency room. In a state of confusion on arrival, he ended up experiencing cardiopulmonary arrest. Cardiopulmonary resuscitation was successful, and a contrast-enhanced computed tomography revealed a massive retroperitoneal hemorrhage around the bifurcated prosthetic graft. Aortography revealed a non-anastomotic rupture of the graft’s body. An emergency endovascular repair was successfully performed; however, the patient died due to disseminated intravascular coagulation and multiple organ failure on postoperative day one.

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